3755 Woodland Tr*'
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
QC- CZ
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7'.seBSite Address: 3755— ze)06 14,114 1-ih//
Tenant: Suite #:
RESIDENT / OWNER
Name: V //71 'f eif j'"/1�i� Phone: 1p46f i8�'" O
Address / City / Zip: 37 S'ODI'., -r// sS723
Applicant is: Owner jontractor
TYPE OF WORK
Description of work: //1i', f,/,///v, s c)110aJ f a dia, /l'
Construction Cost: Multi -Family Building: (Yes / No ✓)
CONTRACTOR
Name: el &(e ot. 4 LC7 eli License #: 4:2337
Address:/d7f 4 Iyj✓!/ Ale S City: /d/4Q/>rl/
State: f 4/// Zip: 5.6.-91,240 Phone: 9‘2: ggg%4 S
Contact:/Sr Guide;eats Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl
i-c/'Applicants PedName
x
Applic4nt's Signature
Page 1 of 2
CITY Of EAGAN Permit No: Date: 7'"14"$F
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21189 Reader No: Date: ' Eaqan, MN 55121 ~
i Owner. ~'T"Qbe2 'iomes
' Site Address~755 4aad ard Yrail .2 Bl The idoodlands
I Plumber raYt t1 _:cemtigg
~ Conn. Chg: S%Q_ Wp,d Zoning 1t2
Acct. Dep: 00Pi No. of Units: 1 '
Permit Fee:.lQOftr1 !
j Surcharge: 11,p~ I agree to comply wilh !he City of Eagan !
~ Tr. P lant 0~d 4rdinances. i
Metec
i
~ Misc.: gr
, WATER SERVICE PERMIT
CITY OF EAGAN Permit No: ~ 7 Date: 7-14--8$
3830 PNot"iCnob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner.
SiteAddress: 3'~~--~'ee~:1$+~sl '~'rz'~ T.^• T!,e 'vTnndla.n:ls
Ptumber.
MWCC: . Zoning-
City Chg: :LQ0 (iQpd No, of Units: a•
Acct. Dep: I agree to comply with the Clty ol Esqan '
Permit Fee: ' tl - ~oDd Ordinances.
Surcharge: • 5O: fj I
Misc.: By
I SEWER SERVICE PERMIT
CITY OFzEAGAN Permit No: ' Date: 7-14-88 ~
3834Pilot Knob Road Meter No: 0.~ O
PA Box 21199 Size. U c '
Reader No: ~
Eagan, MN 55121 Date: s/ ;
, Owrter. _
Site Address: Woodlands
" Plumber.
~ Conn. Chg:
Acct Dep: ~ Zonin9: R 7
•
Permit Fee: No. of Units: ]
Surchargs:
Tr. Plant I agree to comply wlth tbe Cily of Eayan
,
Meter. Ordinances. - 44 Misc.:
WATER SERVICE PERMIT
. ~ CASH RECEIPT ~
CITY OF MGAN
• 3830 PILOT KNOB ROAD
' EAGAN, MINNESOTA 55122
;
DATE 1 ~ 1g
necBVo
Fnor
n
AMOUfJT F T-71
~
. ,
t
& DOLLARS
,ao
? CASH G] CHECK
~
FM
w
_ i
FUND OB,IECT RMOUNT
Thank You .
BY
YJhile-Peryere COPY i
i.,~ • $.~,t ~ a..l 1,~ VeNOrv--PaslNg CuPY
Pink--F(le Cqpy
~ BLDG. PERMIT NO.
' 01-3210 4J g. ermit lv9
01-3422 Plan Check
•
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC ~
20-3865 Water Conn. ~ a 2o-3e68 water rr,,,t. D~
20-3716 Water Meter ~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. 1620 -oOO
28-3855 Park Ded.
o
TOTAL ~ OD
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
PHO N E: 454-8100
BUtLDING PERMIT Receipt~ • ~ -
To be used for SF I)iiG/GAR Est Value 1.1136.OOQ' Date at'NE 7 ,1988 ~
Site Address 3755 1i0QDl.ANl3 Tli OFFICE USE ONLY
Lot ~ eiock 1 5eclsub. THE a0[?oW?Nas
On Ske Sewepe Occupancy R-3 t'+-l MWCC System X_ Zoning R-1
Parcel No. On 5ite Weu (Actuaq Const Y"N i
s Name NUEaEL NORES City Water X (Allowable) V-14
= Address 1 SObU SQUAItE LAKG T1t PRV Required * of Stories '
9~ty STILLwATER phone 439--2533 BoosterPump Length 66'
• DeRth 35'
o Narqg SAt* S.F. Tatal
O ~ Address Footprint S.F.
Ut
~ Ciry Phone APPROVALS FEES 1--a Engr./Assess. Permit 692•00 '
F Z Name Planner Surcharge b ~Q ~
_ ~ Address ,
~Z City PhOne Council Plan Review 346.C~U
a W
` Bldg. Off. SAC, City 100s~ i hereby acknowledge that i havs read thia application and state that the Variance SAC, MWCC 550,
~ ~
information is conect and agree to compfy with aU applicoble State of Water Conn. 550,~ ~
Minnesota Statutes and City of Eagen OfancF . ;r -Q
Water Meter b 7. QO
Siynature of Permittee Road Unit ~
: a~~~~ No~s '
A BUilding Permit is issued to:.~ - Treatment P1 204.00
~
on the express condltlon that all work shall be done in accordance with all pVnC4.)p i e a 1. UQ
applicaple Stete ot Minnesota Statutes and City ot Eagan Ordinances. W--.00
TOTAL
, , .
Building Official_
_ _ ---r° - -
~ CASH RECEIPT ~
~ CITY OF EAGAN
3$30'PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ? "
FIECEMO
FPADM
~r ~ G~~.~['. at-~„ ~ ~ ~'c:f.'GG~GG~ii?s~
AMOUNT Ls co
& DOLLARS
ioo
? CASH ~ CHECK
r r ;
i ~
- ~ ~ ac.:L ~ i
FUND OBJECT AMOUNT
0
Thank You
BY
r:-;i White-Payars CaPY
Yellow-PosUn9 CaP1l
Paik-File Cppy
C,IU UNTIL APPROVED BY ENGINELRING 516/$8 tio e/o _urrrn CAs & IIEC. a7OM-M1-6l28/0ITY OF EAGAN ;
3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55121 ,
PH ON E: 454-8100
BUILDING PERMIT Receipt *
To be used for ~ Est Value Date J• 7 ,19 `
Site Address OFFICE USE ONLY
On 3Re 3ewage Occupency
Lr•' Block ' Sec/Sub.
MWCC System Zoninp
*ParCel No. On Slte Well
(Actual) Const
a Name City Water X (AilowaWe)
W PRV Requlred s of Storiea
Z Address '
0 City Phone ti 33 Booster Pump Length ~
Depth ~ '
, o Name S.F. Total
~ ~ Address Footprint S.F.
~ City Phone APPROVALS FEES
u W Engr./ASSess. Permit _
Name
Address Planner Surcharge -
City Phone Council Plan Review ~ j' •
~ W Bldg. Off. SAC, Ciry i~
I hereby acknowledge that I have read thfs application and state that the Variance SAC, MWCC information is Correct and agree to comply with all appliGable State of Water Conn. 5 S
Minnesota Statutes and City of Eagan Ordinances.
. Water Meter ~ ~ •
Signature of Permittee _ - '
~
Road Unit A Building Permit is issued ta:_ ~r Treatment P1
on the express conditlon that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Ra~~ Building Official TOTAL
Permit No. P'armit Holder Wte TNephone 0
Plumbing
H.v.ac.
i Electric 'J/.S/
I Softener
Inspection Date Insp. Commenta
I Footings I L F
ootings 11
Foundation
Framinp I Roofing
~ Rough Plbg.
Rough Htg. t,-~ rs u•/ ,~t
Isul.
Fireplace
Final Htg. F D S -~'b
Final Plbg. .9 O v, pyv
Bldg. Final
cert ocG
Temp. LP
Deck Ftg. ' 144
Deck Final - ' Plb
Well t~- ~p~-4-2 ~/L -
Pr. DisR
; . / ~
r ~y~j~;ph•~ ~i,~ ~`!f.-~,lj.'hs LU~k ~
Tertifiratr uf (ftrupanry
titp of tagatt
lqmarwtif of gwidttug iwrrtwn
This Cern'fraate iscued pursuant to the requfrenrenrs of Sectiorc 306 of the Uniform Building
Code cemfying that at the dme of lssuance tJiis structure ww in compliance wit/t the uarious
ordinances of tke City regulating building rnnnrucrioa or use. For the followrrsg.• I
usc chngkmbm SF M/GAR ek wz;, N,. 15128
OMVn--Y TYre R3/M (Z-insasVid R I iYvt cant Va
o. a a.Ui R]Effi. FMES Add" 15060 9QW IR IR, STIIIRAIFR
BW&m Addim 3755 c,lOCBd" IItAIT. Lo-lky L2, B 1, IM WMAiM6
arc: SEFTEMM yS, 1988
lbadios Officiel
POST IN A CONSPICUOUS PU1CE
, .
. , . • PERMIT #
PLUMBING PERMIT
CITY OF EA(iAN RECEIPT tl
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454•8100
Site Address BLDG. TYPE i WORK DESCRIPJION
Lot Block ec/Sub Res. New
Mult Add-on
m Name Comm. Repair
'i-c Address Other
c Ciry Phone RES. PLB(i. ONLY - COMPLETE THE FOLLOWING:
- ~ FIXTURES ; TOTAL
Water Closet - $3.00 $
f
~ Name
m ' Bath Tubs - $3.00
c Address ` Lavatory - $3.00 `f
p City • Phone Shower - $3.00 .
J--Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE =Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPIIES I Floor Drains -$1.50 ~
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $100
MINIMUM - COMM/IND FEE -$20.00 =Gas Piping Outlets -$1.50
STATE SURCHARGE PEA PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD 550 S/C IF PERMIT PRICE GOES So(tener -$5.00
BEYOND $1,000.00) Well - $10.00
_t_Private Disp. - $10.00
Rough Openings - $1.50 SIGNATURE OF PERMITTEE ~ FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• s~
~ , . . , _ . • ~ ~ i
• • PERMIT #
; MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # "
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE HONE: 454-8100
Site Aditss o o b z I)v Li -1 ' gLpr,, p WORK DESCRIPTION
Lot Block Sec/Sub '
Res. New ~
Mult Add-on
Nam
m , Comm. "
Addre~
~ City""• Phone Other,
.
Name ~ T : : , o !'1 c 5
RES. H1(AC, 0-1 pp
m F L K. V R ADDITIQNAL 50 I 00
c Addrgss
p City -r' Phone - _3 (RES. HVAC INC1
CONSTRUCTION
, GAS OUTLETS (MI 50 FA
TYPE OF WORK COMMJIND FEE -
Forced Air ~r M BTU APT. BLDGS. - C(
TOWNHOUSE 8 Cuj.w.ja -
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Air Cond. f M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 5fC IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
Other
FEE
SlC: SIGN 'ftJRE bFpERMJ~TP£
/
TOTAL
"FOR: CI OF EAGAN
I
CITY OF EAGAN
454-81 QO DEPT. OF BUILDING INSPECTIONS -
Cormction Notice
Located at
. ~
I have this day inspected this structure and
these premises and have found the following violations of city codes governing same:
~c 4F,: J C s , //f l/ L Cl 4 y"/
/~JIJir~
VIlhen corrections have been made, please
call 454-8100 for inspection.
Date ~ J' Ef
Inspector City of Eagan
DO NOT REMOVE THIS TAG
. ~ RESIDENTIAL
BUILDINC PERMIT APPLICATION UO
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ('AIIfa 1'ig-ol
651-681-4675
New Constructbn Reouiremenls RemodeVRewir ReauiremxHS Lj,,,_
. 3 registered site surveys showirg sq. ft. of lot sq. tt. of hase: and all rmfed areas . 2 wpies d plan ~!f ~ ~
(20% maxwnm b[ ooverage albwed) . 1 sel d Energy Calwladw fa heated ad?fiaris
• 2 copies of plan shaxing beam 8 window sizes; poured fouM tlesign, etc.) • 1 site smeyfaexterioradditians & decks
• 1 set of Energy CalculaUons
• 3 copies M Tiea PreserveGm Plen if lot platted a%er 711193
• RimJoistDatailOptionsselectiansheel(bldgswilh3orlessuni4s)
DATE V~.1ArLUATION (EXCIUDING LAND)
JOB SITE ADDRESS c~~(
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER -J,41'JE S FP,4A/7-*
TYPE OF WORK FIREPLACE(S) _0 _7 _2 _3
APPLICANT PHONE 0 3Y
ADDRESS 3 7-S`f- Woo '0 Z,'*'`,('d TR41L ZI CODE / 2 3
PAGER # CELL PHONE # 0
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - ResidenGal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RUL.FS 7672
- New Energy Cade Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone li
Mechanical System Includes: _ Air Conclitioning Tee: $70.00
~ Heat Recovery System
Sewer/Water Conhacfor: Phone f ~m
All above information must be submitted prior to processing of application. c~ ZWith
I hereby acknowledge ihat I have read this application, state that the information is corr y,npa all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Appllcanf
Certificates of Survey Received _ Tree Preservation Plan Receiy d _ Not Required _
/ Updatad 1t07
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool O 30 Acceasory Bldg
? 02 SF Dwalling O 08 06-plex O 76 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt- Muld
13 03 Ot of _ plex 0 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex )k18 Deck ? 23 Porch (screened) O 36 Multl
? OS 03-plex ? 11 10-plex O 19 Lower Level O 24 SWrtn Damage
? 06 04-plex O 12 72-plex Plbp_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Damolish (interior) ? 44 Siding
32 Addition O 36 Move Bldg. O 42 Demolish (FOUndation) O 45 Fire Repair
33 Altera6on O 37 Demolish (Bldg)' 0 43 Reroof O 46 WindowslDaors
? 34 Replacement •Demolltion (Entiro Bidp only) - G1ve PCA handout to apptleant
Valuation Occupancy MC/ES System
Census Code K3 ~f Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FiuaVC.O.
Footings(deck) ~ FinaVNo C.O.
! Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Fiual
_ Fireplace _ RI. _ AirTest _ Final _ Siding SNCCO Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspedor
Base Fee
Surcharge 0~`l t/'L 20
~
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
NO CO GNTIL ENG APPROVES 5/88 _
CITY OF EAGAN W 1 51 2 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # ~D
To be used for SF DWG/GAR Est. Value $136,000 pyte ,lUNE 7 .1988
SiteAddress 3755 WOODLAND TR OFFICE USE ONLY
Lot Z elock 1 SeGSub. THE WOODLANDS On Srte Sewage _ Occupancy R-3 M-1
MWCCSystem X Zoning R-1
Parcel No. V-N
On Site Well _ (ACtuap Const
e Name NUEBEL HOMES CiN Water X _ (allowabie) V-N
w
z Address 15060 SQUARE LAKE TR PRV Required _ it of Stories
~ City STILLWATER phone 439-2533 Booster aumo - Lenqth 66'
Depth 35 '
, o Name SAME s.F.7otal
oQ AddfCSS FootprintS.F
~ City Phone pppROVALS FEES
- Address Engr./ASSess. Permit 692. o0
W w Name
~ i Pianner Surcnarge 68.00
i
Q W City PhOnB Council Plan Review 34~. Q0
BItlg.Off. SAC,City ~100.00
I hereby acknowledge that I have read this application and state ihat the Variance SAC, M WCC -550..00
information is correct and agree comply with all a pli ble State of Water Conn 5rJ0._09
Minnesota Statutes and Cit ot g O anc
water Meter _6_L.00
Signature of Permi[tee _ Road Unit _325-_QO
A Builtling Permd is issued t_ NUEBEL t10MES 7reatment Pt 204.00
ontheexpressconditionthata workshallbetloneinaccordance withall pmSCOPIBS 1.00
eppliCa6le State ofM~inne~so^ta S~t~atI 'utes .~an,d Cily of Eagan OrdinanCes 1 9~ .o0
Bwlding Oflicial~, / ~1.P.UA. 1 I11 C. TOTAL ~ _~_1.
ihis iequest void
Nequest Uate Fire No. W21 InsVemmn ~HCatly Now Will Nou1y Inspec-
- ?Na ~or When Readv
~l~censod Electncal Convactw I heraby repuesf msoeetion of obove
Owner elechical work inslallad et.
Sbeet Address, Bor or Rome No. Cny
ecuon o. Township Name or No. Rpnge No. Count~y ~ ~
i~S~',I~C~
Occuuant IPRINTI ~ Phone No.
G ~ S
Powe upV ~k Address
,3ot) ,a-,~o - i •
Electncal Contra mr IC mpanv Namel ConVactoe's License No.
MailinB A d,ess (Conunctor r Owner Makma inswilation)
Aulhor¢ed ature (Conlractor~ wner aking InsL~llaunnl Phone Number
MINNESOTA STqTE BOAflD OF ELECTNICITY THIS INSPECTION flEQVEST WILL NOT
Grigps-M.dwey BICB. - poom N-191 BE ACCEPTED BY THE SiFTE BOAflD
1 B]t Unuvarsi1v Ave.. St. Peul, MN 55104 UNlE55 PFOPEH INSPECTION FEE IS
o....,., ~~.o~ cno nonn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~ Ee-ooool; ~s
~ sec Instructions lor comaletin9 Inis fa,m on eack ol vellow coov. ~
E't-682 0 "X" Below Work Covered by This Request
HAtl Rav. TvDe ol BwIEmB APUlioncee WinE Eqmu~~en~ WireA
Home Fonge Temporary Service
Duplex Water Healer Liqhuny Fiztuies
ApL Bwldmg Dryer Electnc Hennn
Commercial Bldy. Fumace Silo Unbader
IndusVial BIAy. Air Conditioner Bulk Milk Tank
Farm m, ot:u v 011her Isnncitv~
t ei uculv thm Oinm
ompute lnspecuon Fee Below Fee ServiceEnVenceS¢e tt Fee Fexders/5ubleeders N Fox Cucu.ts
U to 200 qm 5 0 to 30 qm s 0 tn 30 Am ~
Above 200 Ainps 31 to 100 qinps 31 to 100 qm Swinming Pool Above 100_Ampti Above 100_Am
Trensiormers Irrigation Buoms OtbaL e
Signs Special Inspecbon 01e0 $ ~ rorn e~ .6
Aemirks
irt floueh.m O. e
U . "e cv'
InspecIar, heroby
cerblV thxt the above
Final L,C inspection hes Eeen
z maea.
Thb roQUest voi018 montln Iwm
~ • ~
, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN S
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WAICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: 51N6LE ~e>yaluation: Date: 4~"-)-g6
Site Address -~3 S W-v~ OFFICE USE ONLY
/36~000-
Lot ~ Hlock I On site sewage_ Occupancy R-31M-1
~ I'wr MWCC system ? Zoning ~
Parcel/Sub Oo1,~LAI~b5 On site well Aetual Const ~
City water Allowable _
Owner QUeQ>E( t1uc~FS PRV required _ Ik of stories
Booster Pump _ Length
Address 1S~c-o SwVaPe G~}Kr i~ Depth 35-Y"
S.F. Total
City/Zip Code S7i~c .-~7cit SS4~D Footprint S.F.
Phone -7~ 3 S 3 3 APPROVALS FEES
Contractor At/E P>E ~ -17ell .H e C Engr/Assess Permit ,O
Planner Surcharge G,S.Ut~
Address /SObo SQ?•~9JCe L.kKt 7/Z- Council Plan Aeview ;3_0(0,00
Tsog B1dg. Off. SAC, City 100.00
City/Zip Code STizc wf)rC 2 y? Variance SAC, MWCC ,$s~k , o O
Water Conn 5 ' oD
Phone y39- a 5-- 3 31 Water Meter Ob
Road Unit 3Zsl"
Arch./Engr. -'Pc- PTiNEN 2~S16 ti/ Treatment Pl 2py.00
Parks
Address Copies ),OD
I
City/Zip Code TOTAL
-~c/aQ
Phone # ~7 8 o
- I/A LuAT i o NI "
~ • ~ ^ ,
GARAC~C ~ ,
Z2x2(4= SZS XPy = `7392
is X 3s = szs
1 b X.~S = Z
Il ~ = Z 8 ~
i~yi x~3= 1y183
I 5T FLoo 2
109)
6X lLl I Z
?203 x y5 = 5 439U7
L W-~:) f7L4C--Of~L
f3s ~ T- i vci i
22
~ 5$ I 25~
y9
,
SURVEYOR'S CERTIFICATE NUEBEL HOMES, Irvc.
~
~897.5) ' OQ/
. 2
• ~,9
\ ` ` bO O
*bA
lox
~s~? 'P
a\y e f;:'~;, • ,~RQ'" % '9
/ as Q 17
~Q~t CF-w~~ •
0 -1O e95.7
\ a~• ` 3 h ,
?`f3~-,o sr~ eus.e ~81G.o) o
'f6~
~ ~9S 39p Gs~~t.o i~ J 6p /
` J N~p • 9,~d ~b
/ s \ /O
~ ~ O b ~ o
.e~} , `
,~y~
61 .0
y;ON
p \5'~Z yAy0 . A~
jo
0.0
y7 ~0 3` •
E D
B
Da
EAGAN £NGINEERIIVG DEPT.
`
f- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 899.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 89/•6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 899.7 FEET
WE HEREBY CERTIFY TO NUEBEL HOMES INC., THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SUfiVEY OF THE BOUNDARIES OF:
LoT 2, Block I, THE WOOOLANDS accordinq to ihe recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 31st DAY OF MAY , 1988.
SIGNED: JA L. INC.
BY: ~
HAROLD C. PETERSON, LAND SURVEY R
MINNESOTA LICENSE NUMBER 12294
mTT~~~~ ~
-iOm James R.Hill, inc.
~ mW~ cn N D f ~
o m o~~ N> Z`n m~ Z PLANNERS / ENGINEERS / SURVEYORS
N oZ m mOD co
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-864-3029
a
0
n
5 . \
:XiEP,IOR EN:':LO?E A4'E?,:.GE "U" COMPUT:.TIO`I
l 1 ~ • •
C'.^fE P,:
SITE ;.DJRESS: .".1.5~ Le-r2 '51oJc~
CONT?.4Ci0R: ~ne• `^'~~.ANDg DATE•
PH09E:
PETEM1tiE L.'p?,~ING SO,UARE FOOTr1Gf- OF EACH:
1. TOTAI_ EX?OScD '..'ALL AREA sq f t xl.u..
.1I -
2. TOT;,L Rv^OF/CE(U`IG A=EA
. . . . . . . . sq f[ x''U"
.o= '
~..7
- 3
3. TJTAL EX?OScD ~,'ALL :..'•_A C:ICL'::.TIC!!S:
To;al ex, posed wall .
area aSove floor,,,,.. ~7 9 S sq ft
a) Total wall windca area:
_ ~
c sq f[ x
ala:cd /
sq it x 'lul, _
S) To;al Coor a;ea sq ft x"U"
c) Total sliding glass door area:
staz-d......
5 q Ft X Ll" , 7~
c,lazed....., sq f[ x "Ul.
d) To:al firepla,e •.:all arca sq fc x"U„ ~ -
e) Total wall `raning area
(.;.crac_ 10.'.)...........
- sq f[ x "Ul.
f) 'To;al ne: wall arca c'-Io:•e -
r
`loor (Insulz.ed)......
SG ti
S) To:al rin Joist area...... sq rt x::U,~ ~~!(J • '
Tota1 founda[ion
area (:xaosed).......... 1~~ \ sq f[
h) Total Foundatlon
wfnc'ow arca............. sq f[ x''U"
I) To;al net fou^aaticn
area above graCe......... sq ft x"U" ,(7)
3. TOTAL a) thru 1) I 1?, r r
If Item pj Is the sar..e as, or iess [han Item A1, you have met the Inten[ of
S.B.C. Seccion 6006 (c) p.
1 A `
~ 4. TOi;.! 'xPCS-D AO•JF/C, I LI!Il C:.LCI'LATIC?1S:
To[al exposed .
roof/celllnri area........ ~ ao 3 sq ft -
J) To[al skyl(cht area....... . sq f[ x"U" - ~ -
1c) To;al rco`/ceilfr franing
arca 1f7.''.)..... \ c •o sq F. x'lull ~D~~ -
.
1) To,al i;_v!:1niC~
roof/cc:1i~.; 3:ca 1U~,' sq c
t x"U" ~0=~; - - ~ ~
4. • TOiAI j) thru 1)~
If to,al of ?ti iz sz.-^_ zs, or less ha•:e re[ the fnt_nf of
S.B.C. Sec[ion 50'Jo (c) 1.
:,!i_3.';4T~ EIUILDI.'!f ~.,.:LC?E i.=Slf.'!
To u;ili_e :o,al c^•:_ic*e sys:,~ r.et*th•: valces es:aSlis`.ed by sc.~
of Itens A3 and ?4 s,hall not be ~r_eater than [he sum of i[ens M and 92. ,
1. + 7, _
3. + 4. _
C: R T I F I C A T I 0!1 -
I hereby cer[lfy tha[ I hav._ calculated ihe "U" factors and "R"
valu:s herein and that the bulldinn here descrlhed neets or exceeds the S,ate
of Hfnnesota Eneray Corservaticn Act. -
. 1 ?J_.~! ( \ ':J ,~.".._i
SlGnature
(Date) _
APFLICATION FOR PERMIT iNDTE= PAYMFNP OF FEE AT TIME OF
• AepLIcaMoN ooFS rnr corr
. *
SrrI= APPF2('JAL OF PIItPIIT.
SEWER AND/OR WATER CONNECTION : Ic~se~oc~ oF s~ nNn/oa wr,TEa :
irsrncuriors wn.t, caar ee sCncn.m ;
I!NCIL PIItMIT HAS BEFN ApPROVm. '
•~~~~~~»~~~~~~~~~~~~»~a«~~~~w~~~a~i
l~
C9tVOF CC1gC8r9
(PLEASE PRINT
1) PROPII2TY ADDRFSS:
T.FY:AT DESQ2IPTION; S
Lot B ock S ivision or Tax P rTcel ID #
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PMtMiT ISSOANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q COMNMSEE2CIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY
Q INDOSTRIAL R-2 DL~PLEX (3WO C'nits)
Q INSTIT[JTIONAL/GOVII2NNENT Q R-3 TOWNHOUSE (Three + Cnits) ( Dnits)
Q R-4 APARTMENT/CODIDOMINICM ( Lfiits)
L L
2) ~ NAME: ozde
ADoxESS: 2 ~ 0 .
CITY, STATE, ZIP:
PHONE:
/ For City Use
3) `IMMEE~_-NAME: Pl erisnT s License:
„ADDRESS: ^ z ~ ~ Active
~ nA1J I F~cpired
OW CITY, STATE, ZIP: S'7'7c-~-c;Ab-~. jl4Z- ~yrej~ ~.,--a~ Not recordec
PHONE: MASTII2 LICENSE # Sta Initia
{
4)
• ~~L~r~-~-G~/ .
tuanE: ~l ~ 2 'C z- /~cJC
ADDRESS' _1--20ZC7 3~ A2~ ~/-~i.sr
CITY, STATE, ZIP:
PHONE:
5) u , a ~a~• •o~~ ..i a~
E~l CONNECTION `Ib CITY SEWER I~CONNECTION 'Ib CITY WATEE2 O QTHII2
6)
?
**+~***.~+..+*****+~+**++*~**+********.***+~*+~*,r+***.**,r****~*******.****++****+****** ***+,r**+**.,
*
*T4IE GOLD COPY OF THE PERMT WIIS, BE SENP DIRFX:IZ,Y TO PUSLIC FARKS ZU FACILITATE METER PIQ(-IIP. i
PLEASE N LAW 1FA hDRKING DAYS FOR PROCF".,SING. SOMF70NE FROM TEE CITY WILL CONPALT YOL~ IF 1HII2E ~
* ARE ANY PROBLEh1S. ~
~rr•r~~*****+~+**~++r*,t**:,rrt***+#,.**tst++*~~**,r*++*r**,tr**:****•*,r,t*r*rrw++:+*****+*****+**+:***,t*;
FOR CITY USE ONLY
PERMIT # ISSC'ED ,
773
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SC'RCHARGE)
$ /r 7, D C) $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ C' ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ S,SC' • OZ~ $ wAc
$ ~e Sn • cm $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL SENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TR[;•NK WATER
$ ~20 v~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ~LI7( S TOTAL
- c/
RECEIPT t RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC'BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITZONS:
APPROVED BY:
TITLE:
DATE : '7l l Y' /.Fy
:
Cities Di ital Qualitv Control
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PROPOSED SURFACE D H_ 30 FEET
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re I~ENOTES IRO oononcFn LOWEST FLOOR
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40k i .oi~C City ~ of~Ea:afl. 1 €3 2009 j Penmit~ 539aay ;
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3830 Pilot Knob Road Permit Fee: W ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 ~ j
Fax: (651) 675-5694. I Staff:
`-----------------I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: _ 7ames Franta
Tenant: 3755 Woodland Trail suite tt:
Eagan, MN 55123
RESIDENT / OWNER Name: 6516889034
ne:
Address / City ! Zip:
CONTRACTOR Name: N(IRRI OM PI I IMRI N('rLicense#: r"'
Address: (612) 827-4033
c;ty: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: ~ Wal Pir eaw
PERMIT TYPE RES/DENTIAL
I Water Heater Water Softener
Lawn Irrigation Add Plumbing FiMures
L RPZ PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30,50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an appliwtion for a perm@, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X~e~'r~ ~~vorbl or2 Xcy~77L
ApplicanPs Printe Name A icant's Signa ure
~ i ~ii',3a:." .'Cr'_ ti:ti.. -~~+..r . _yr~ r„_11 ~
i3FOR•OFFICE;USE:s~±`:~~ F oZ~~ r ~~~r. ~ 7 , ^:.i! .,'i 'i` S ~e hx f~ ~i.a'1~ - i . t,2,"4s 5"' ~'t~ "F.X ~Nrt"'. >r~
~:~:c`.~kMr~. 2 ~2 J;•4 a rn jl F ~ F~-4 f'`s7,x"`;Y;J:.i~..ARi~,`~.U`.iy} 4' „ Pr,Y$~}s Y ~T ~a ' :
~.Reguired;ln"spections : ~+~~~~°Und'er GroundY ~ ~`Roug~i`In rr~':P Air~Test`~~ ~ua Gas~Test ~ Final ~ '
03/2112014 09:17
41111'' City
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 675.6675
Fax: (661) 676-6694
RECEIVED
MAR ,7 1 In
(FAX) P.0011002
Use BLUE or BLACK Ink
I -
For Office Use
Permit #: I2.
Permit Fee:
Date Received:
Staff;
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
3.21.14 81te Address: 3755 Woodland Trail, Eagan, MN Unit #:
Resident/
Owner
Name: Jim Franta Phone: 651.688.9034
3755 Woodland Trail, Eagan, MN 55123
Address / City / Zip: g
Applicant Is: Owner X Contractor
Type of Work
Description of work: Reroofing - tear off & replace, also installing a 10' sun tunnel (S/i. /Mair)
Construction Cost: $13,000 Multi -Family Building: (Yes / No X )
Contractor
Company: Lindus Construction, Inc. Contact: Amy J Jilk
Address: 879 Hwy 63 City: Baldwin
State: WI Zip: 54002 Phone: 651.967.0379
License #: BC007644 Lead Certificate #: NAT -58924-1
If the protect is exempt
Post 78 - built
from lead certification, please explain why: (see Page 3 for additional information)
in 1988
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW @UILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
_ Phone:
NOTE:. Plains' and supporting documents that you subm/t are ,considered to•.be, public' Information. - Portlons.of
the Information may be classified as non :public If you;Jirovlde specific reasons that,would permit, the City to
. conclude that they-:arC.t de.:secrets. ' , . _
CALLBEFORE YOU,PIG. Call Gopher State One Call at (651) 464.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.aooherstiggpnecalLorg
I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this 18 not a permit, but only en application for a permit, and work le not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review end approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
Amy J Jilk
Applicant's Printed Name
Page 1 of 3
0312112014 09:17
(TAX) P.0021002
DO NOT WRITE BELOW THIS LINE f
SUB TYPES,
Foundation_ Fireplace
Single Family Garage
Multi _ Deck
01 of _ Plex _ Lower Level
WORK TYPES
_ New
_ Addition ——1L-Rew°�
Alteration Fire Repair wile—, 4— Windows
— —
_ Replace — Repair / 0/44041 _ Egress Window
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPII9N. I/ ®a
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement Siding
Move Building
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building"
Demolish interior
Demolish Foundation
Water Damage
Valuation
Plan Revie
(25%_ 100°
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTLOJIS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Z_Final
Framing •
Fireplace: _Rough In _Air Test Flnal
it Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
T4't „Z MCES System
1479 SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
r -
Meter Size:
Final / C.O. Required
Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _ AirlGas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
Building Inspector
W M/ Phljl R FM"
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143498
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 3755 Woodland Tr
Lot:2 Block: 1 Addition: The Woodlands
PID:10-75875-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James T Franta
3755 Woodland Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature